Postdysenteric arthropathy
ICD-10 M02.1 is a billable code used to indicate a diagnosis of postdysenteric arthropathy.
Postdysenteric arthropathy is a type of reactive arthritis that occurs following an episode of dysentery, typically caused by bacterial infections such as Shigella or Salmonella. This condition primarily affects the joints, leading to inflammation and pain, often in the lower extremities, including the knees, ankles, and feet. The pathophysiology involves an immune response triggered by the gastrointestinal infection, which can lead to synovitis and subsequent joint damage. Clinically, patients may present with joint swelling, stiffness, and reduced range of motion, often accompanied by systemic symptoms such as fever and malaise. Anatomically, the condition can affect multiple joints, with a predilection for the lower limbs, and may also involve entheses, leading to enthesitis. The chronicity of the condition can lead to long-term joint damage if not properly managed.
Orthopedic documentation should include imaging studies (X-rays, MRIs) to assess joint damage and functional assessments to evaluate range of motion and strength.
Patients may present with knee pain following a gastrointestinal infection, requiring evaluation for potential surgical intervention if conservative management fails.
Joint-specific considerations include documenting the severity of joint involvement and any surgical history related to the affected joints.
Rheumatologic documentation should include laboratory tests for inflammatory markers (e.g., ESR, CRP) and assessments of disease activity using standardized scales.
Patients may exhibit signs of systemic involvement, necessitating a comprehensive evaluation for other autoimmune conditions.
Consideration of systemic symptoms and potential progression to chronic arthritis is essential for accurate coding.
Functional assessments should document mobility limitations, pain levels, and the need for assistive devices.
Rehabilitation scenarios may include post-infection recovery programs focusing on restoring joint function and mobility.
Assessment of the patient's ability to perform activities of daily living (ADLs) is critical for rehabilitation planning.
Used for joint effusion management in postdysenteric arthropathy.
Document the joint involved, indication for procedure, and any therapeutic agents used.
Orthopedic considerations include assessing joint stability and potential need for further intervention.
Common symptoms include joint pain, swelling, stiffness, and reduced range of motion, particularly in the lower extremities, often following a gastrointestinal infection.
